Senior Engineering Manager

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care.

Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York.

Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido’s $60M Series B. More info at Akidolabs.com.

The Opportunity

We are seeking a Senior Engineering Manager to lead a distributed team of 5–7 full-stack, frontend, and backend engineers. This role is ideal for someone with proven experience managing engineering teams, who has also thrived as a senior or principal-level individual contributor in a strong engineering culture. You will be responsible for guiding technical direction, driving execution, and ensuring operational excellence while fostering growth and collaboration across your team and the broader engineering organization. 

What You'll Do

• Lead, mentor, and coach a team of full-stack, frontend, and backend engineers. 

• Drive delivery of high-quality, customer-facing product features and improvements. 

• Provide strong technical oversight through design reviews, code reviews, and process adherence. 

• Contribute to small coding tasks or proofs-of-concept as needed. 

• Identify technical risks, areas of refactoring, and opportunities for improving developer productivity and software quality. 

• Ensure operational excellence in production, including reliability, scalability, and performance. 

• Partner with product, design, and other stakeholders to align on priorities and execution. 

• Recruit, interview, and onboard new engineering team members, including offshore and nearshore contractors. 

• Influence and elevate engineering practices across the broader organization, not just within your direct team. 

 

Who You Are

• 5+ years of experience in software development, including experience at the Senior or Principal Engineer level. 

• 2+ years of experience as an Engineering Manager, ideally at or just entering the Senior Engineering Manager level. 

• Track record of managing remote, distributed teams effectively. 

• Strong coding background with individual contributor experience in modern web technologies, ideally including: 

• Frontend: React.js, TypeScript 

• Backend: Node.js, NestJS 

• Infrastructure: AWS and microservices-based architectures 

• Experience working on core or customer-facing products in a microservices environment. 

• Demonstrated ability to deliver complex projects with high accountability and ownership. 

• Excellent communication skills, with the ability to collaborate effectively across engineering, product, and design. 

• Strong leadership skills in mentoring, coaching, conflict resolution, and building high-performing teams. 
• Ability to identify, drive, and influence technical best practices across multiple teams. 
• Strong sense of ownership and accountability. 

• Clear, proactive communicator. 

• Skilled mentor and coach who fosters care